NEET-PG 2015 - Anatomy Practice Questions

Q: Heart tube is formed in a gelatinous matrix rich in:

Hyaluronic acid secreted by the myocardium. ***Hyaluronic acid secreted by the myocardium*** - The developing **heart tube** forms within a gelatinous extracellular matrix that is rich in **hyaluronic acid**. - This **hyaluronic acid** is secreted by the **myocardium** (the developing heart muscle), which plays a crucial role in the initial formation and remodeling of the heart. *Hyaluronic acid secreted by the endocardium* - While the endocardium is an important layer of the heart, it is the **myocardium** that primarily secretes the **hyaluronic acid** critical for heart tube formation during early development. - The **endocardium** forms the inner lining and primarily acts in blood-tissue interaction and valvular development later on. *Chondroitin sulfate secreted by the endocardium* - **Chondroitin sulfate** is a component of the extracellular matrix, but it is not the primary proteoglycan responsible for the initial formation environment of the heart tube. - Furthermore, its secretion is not predominantly from the **endocardium** in this context. *Chondroitin sulfate secreted by the myocardium* - Although the myocardium is responsible for secreting extracellular matrix components, **chondroitin sulfate** is not the predominant or critical molecule responsible for the initial gelatinous matrix allowing heart tube formation. - **Hyaluronic acid** plays this key role in early cardiogenesis.

Q: What is the remnant of the umbilical artery?

Medial umbilical ligament. ***Medial umbilical ligament*** - The **umbilical arteries** (paired structures) carry deoxygenated blood from the fetus to the placenta during development [2]. - After birth, these arteries obliterate and persist as the **medial umbilical ligaments** (two in number, one on each side), extending from the internal iliac arteries to the umbilicus along the anterior abdominal wall. - The proximal portions of the umbilical arteries remain patent as the **superior vesical arteries**, which supply the bladder. *Ligamentum arteriosum* - This is the remnant of the **ductus arteriosus**, which shunted blood from the pulmonary artery to the aorta, bypassing the fetal lungs [2]. - It connects the arch of the aorta to the pulmonary artery. *Ligament teres* - Also known as the **round ligament of the liver**, this is the remnant of the **fetal umbilical vein** (a single midline structure) [1]. - The umbilical vein carried oxygenated blood from the placenta to the fetus [1], [2]. *Ligamentum venosum* - This is the fibrous remnant of the **ductus venosus**, a shunt in fetal circulation that bypassed the liver by connecting the umbilical vein to the inferior vena cava [1]. - It is located deep within the liver, forming a fissure.

Q: Which of the following is a derivative of paramesonephric duct in males ?

Prostatic utricle. ***Prostatic utricle*** - The **prostatic utricle** is a blind-ending pouch located in the prostatic urethra. - It represents a **rudimentary derivative of the paramesonephric (Müllerian) duct** in males, which normally regresses due to the presence of Müllerian-inhibiting substance (MIS). *Trigone of bladder* - The trigone of the bladder is derived from the caudal ends of the **mesonephric ducts** (Wolffian ducts), not the paramesonephric ducts. - It forms through the incorporation of these ducts into the posterior wall of the bladder. *Paraphoron* - The **paraphoron** is a vestigial structure found in females, representing remnants of the caudal parts of the **epoophoron tubules**. - These are derived from the **mesonephric tubules**, not the paramesonephric ducts, and are not found in males. *Gartner's duct* - **Gartner's duct** is a remnant of the **mesonephric (Wolffian) duct** in females, typically running along the lateral wall of the vagina or uterus. - It is not found in males and is derived from a different embryonic structure than the paramesonephric duct.

Q: Which of the following statements about the limbus fossa ovalis is false?

Derived from septum primum. ***Derived from septum primum*** - The **limbus fossa ovalis** (or annulus ovalis) is a structure in the right atrium that forms the prominent rim of the **fossa ovalis**. - It is derived from the inferior border of the **septum secundum**, not the septum primum, which primarily forms the floor of the fossa ovalis. *Forms the rim around fossa ovalis* - The **limbus fossa ovalis** is indeed the thickened, crescent-shaped border of tissue that surrounds the **fossa ovalis** in the interatrial septum. - This anatomical arrangement is a remnant of the **foramen ovale** from fetal circulation [1]. *In right atrium* - The **fossa ovalis** and its surrounding limbus are located on the septal wall of the **right atrium** [1]. - This position is crucial for its role as a key landmark in interatrial septum anatomy. *Also called Annulus ovalis* - The term **annulus ovalis** is a widely accepted synonym for the **limbus fossa ovalis**. - Both terms describe the same anatomical structure, the fibrous rim surrounding the fossa ovalis.

Q: Which nerve roots are primarily involved in Erb's palsy?

C5, C6. C5, C6 - **Erb's palsy** primarily involves injury to the **upper trunk of the brachial plexus**, which is formed by the ventral rami of **C5 and C6** spinal nerves. - This lesion results in a characteristic "waiter's tip" posture due to paralysis of muscles supplied by these nerve roots, including the **deltoid**, **biceps**, and **brachialis**. *C4, C5* - While C5 is involved, **C4** is typically associated with the **phrenic nerve** and diaphragm function, and its primary involvement is not characteristic of Erb's palsy. - Injury to C4 and C5 alone would not produce the comprehensive motor deficits seen in Erb's palsy involving shoulder and elbow flexion. *C5, C7* - This option includes C5 but also **C7**, which is more commonly associated with the **middle trunk** of the brachial plexus. - While C7 can be involved in extended brachial plexus injuries, its primary involvement alone is not the classic presentation of Erb's palsy. *C6, C8* - This combination includes C6 but introduces **C8**, which is part of the **lower trunk** of the brachial plexus. - Injuries involving C8 and T1 are characteristic of **Klumpke's palsy**, affecting intrinsic hand muscles and causing a "claw hand" deformity, which is distinct from Erb's palsy.

Q: Root value of the thoracodorsal nerve

C6, C7, C8. ***C6, C7, C8*** - The **thoracodorsal nerve**, also known as the middle subscapular nerve, originates from the **posterior cord of the brachial plexus**. - Its specific root values are **C6, C7, and C8**, which supply motor innervation to the **latissimus dorsi muscle** [1]. - This nerve is one of the three subscapular nerves arising from the posterior cord [1]. *C5, C6, C7* - While these roots contribute to the **posterior cord**, the thoracodorsal nerve specifically arises from **C6, C7, C8**. - **C5** primarily contributes to the **upper and middle trunk** and is more associated with nerves like the **suprascapular** and **axillary nerves**. *C6, T1* - These root values contribute to various nerves of the **brachial plexus**, but not specifically the thoracodorsal nerve. - **T1** contributes mainly to the **medial cord** and its branches like the **ulnar nerve**, not the posterior cord from which the thoracodorsal nerve arises. *T1, T2* - These are typical root values for **intercostal nerves** and contribute to the **sympathetic trunk**, not the **brachial plexus** or its branches like the thoracodorsal nerve. - The brachial plexus predominantly arises from **C5 to T1 spinal nerve roots**, and **T2** is not part of the brachial plexus.

Q: Teres minor is supplied by

Axillary nerve. ***Axillary nerve*** - The **axillary nerve** (C5-C6) innervates both the **teres minor** and the **deltoid muscle**. - It arises from the posterior cord of the brachial plexus and traverses the quadrangular space. *Suprascapular nerve* - The **suprascapular nerve** (C5-C6) primarily supplies the **supraspinatus** and **infraspinatus** muscles. - It plays a crucial role in shoulder abduction and external rotation, but not directly in teres minor function. *Lower subscapular nerve* - The **lower subscapular nerve** (C5-C6) innervates the **subscapularis muscle** and **teres major**. - Teres major and teres minor are anatomically adjacent but have different innervations and functions. *Thoracodorsal nerve* - The **thoracodorsal nerve** (C6-C8) innervates the **latissimus dorsi muscle** [1]. - This nerve is distinct from those supplying the rotator cuff muscles, including teres minor.

Q: Prolactin secreting gland develops from -

Rathke's pouch. ***Rathke's pouch*** - The **anterior pituitary gland**, which secretes prolactin [2], develops embryologically from **Rathke's pouch**. - Rathke's pouch is an **ectodermal evagination** from the roof of the primitive oral cavity (stomodeum). *Infundibulum* - The **infundibulum** is also known as the pituitary stalk, connecting the hypothalamus to the posterior pituitary [1]. - It is derived from **neuroectoderm** and forms part of the posterior pituitary, not the prolactin-secreting anterior pituitary [1]. *Tuber cinereum* - The **tuber cinereum** is a part of the **hypothalamus**. - It is involved in regulating several bodily functions but does not directly give rise to the prolactin-secreting gland. *3rd ventricle* - The **3rd ventricle** is one of the four ventricles of the brain, filled with **cerebrospinal fluid**. - It is a part of the central nervous system and is not involved in the embryological development of the pituitary gland.

Q: Superior vena cava develops from?

Right anterior cardinal vein. Right anterior cardinal vein - The superior vena cava (SVC) forms from the right anterior cardinal vein and the common cardinal vein. - The right anterior cardinal vein directly contributes to the upper portion of the SVC. Left anterior cardinal vein - The left anterior cardinal vein typically regresses or becomes minor tributaries like the left SVC (if persistent) or the coronary sinus. - It does not form the main superior vena cava. Left common cardinal vein - The left common cardinal vein forms the coronary sinus and an oblique vein of the left atrium. - While major vessels drain into it, it does not directly form the superior vena cava. Right subcardinal vein - The right subcardinal vein is primarily involved in the development of the inferior vena cava (IVC), particularly its renal segment. - It does not contribute to the formation of the superior vena cava.

Q: Which structure may persist as a remnant of the Müllerian duct in males?

Prostatic utricle. ***Prostatic utricle*** - The **Müllerian ducts** (paramesonephric ducts) are primarily female reproductive structures. In males, the **anti-Müllerian hormone (AMH)** causes their regression. - The **prostatic utricle** is a small blind-ended pouch located at the prostatic urethra, representing the remnant of the fused caudal ends of the Müllerian ducts. *Seminal vesicle* - The **seminal vesicles** develop from the **mesonephric (Wolffian) ducts**, not the Müllerian ducts. - They contribute to semen production and are functional male reproductive organs, not remnants of female structures. *Epididymis* - The **epididymis** also develops from the **mesonephric (Wolffian) ducts**. - It functions in sperm maturation and storage and is part of the male reproductive tract, not a Müllerian remnant. *Ureter* - The **ureters** are conduits for urine from the kidneys to the bladder and develop from the **ureteric bud**, an outgrowth of the mesonephric duct, but are distinct from Müllerian structures. - They are part of the urinary system in both sexes and are not considered remnants of the Müllerian duct.

Question 1

Heart tube is formed in a gelatinous matrix rich in:

Accepted Answer

Hyaluronic acid secreted by the myocardium

Answer

Hyaluronic acid secreted by the endocardium

Answer

Chondroitin sulfate secreted by the endocardium

Answer

Chondroitin sulfate secreted by the myocardium

Question 2

What is the remnant of the umbilical artery?

Accepted Answer

Medial umbilical ligament

Answer

Ligamentum arteriosum

Answer

Ligament teres

Answer

Ligamentum venosum

Question 3

Which of the following is a derivative of paramesonephric duct in males ?

Accepted Answer

Prostatic utricle

Answer

Trigone of bladder

Answer

Paraphoron

Answer

Gartner's duct

Question 4

Which of the following statements about the limbus fossa ovalis is false?

Accepted Answer

Derived from septum primum

Answer

Also called Annulus ovalis

Answer

In right atrium

Answer

Forms the rim around fossa ovalis

Question 5

Which nerve roots are primarily involved in Erb's palsy?

Accepted Answer

C5, C6

Answer

C4, C5

Answer

C5, C7

Answer

C6, C8

Question 6

Root value of the thoracodorsal nerve

Accepted Answer

C6, C7, C8

Answer

T1, T2

Answer

C5, C6, C7

Answer

C6, T1

Question 7

Teres minor is supplied by

Accepted Answer

Axillary nerve

Answer

Suprascapular nerve

Answer

Lower subscapular nerve

Answer

Thoracodorsal nerve

Question 8

Prolactin secreting gland develops from -

Accepted Answer

Rathke's pouch

Answer

Infundibulum

Answer

Tuber cinereum

Answer

3rd ventricle

Question 9

Superior vena cava develops from?

Accepted Answer

Right anterior cardinal vein

Answer

Left anterior cardinal vein

Answer

Left common cardinal vein

Answer

Right subcardinal vein

Question 10

Which structure may persist as a remnant of the Müllerian duct in males?

Accepted Answer

Prostatic utricle

Answer

Seminal vesicle

Answer

Epididymis

Answer

Ureter

NEET-PG 2015 — Anatomy